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MINDGLOW MENTAL HEALTHCARE LLC
NPI 1831989748
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Active since May 12, 2025
610 N HIGH SCHOOL RD STE B, INDIANAPOLIS, IN 46214(317) 496-7726(317) 496-7726 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mindglow Mental Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDGLOW MENTAL HEALTHCARE LLC (NPI 1831989748) is a healthcare organization registered as a psychiatric/mental health in Indianapolis, Indiana and active in the NPI registry since May 2025. The organization lists Lanre B Olanrewaju, Owner, as its authorized official.

NPPES Registry Identity

NPI1831989748
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDGLOW MENTAL HEALTHCARE LLC
Location Address610 N HIGH SCHOOL RD STE BIndianapolis, IN 46214-3663
Mailing Address3410 N High School Rd, Suit G, Pmb 1108Indianapolis, IN 46224 · (317) 496-7726 · Fax (317) 496-7726
Phone(317) 496-7726
Fax(317) 496-7726
Organization SubpartNo
Authorized OfficialLanre B OlanrewajuOwner · (317) 496-7726
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1831989748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
610 N HIGH SCHOOL RD STE B, Indianapolis, IN 46214
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindglow Mental Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindglow Mental Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lanre Olanrewaju
Nurse Practitioner
NPI 1154945798
1900 E MAIN ST
Danville, IL 61832
(217) 554-3000
✔ PECOS✔ Accepts Medicare74 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindglow Mental Healthcare LLC's NPI number?

The NPI number for Mindglow Mental Healthcare LLC is 1831989748. It was assigned to this organization in the NPPES registry on May 12, 2025.

Where is Mindglow Mental Healthcare LLC located?

Mindglow Mental Healthcare LLC is located at 610 N High School Rd Ste B, Indianapolis, IN 46214. The listed phone number is (317) 496-7726.

What is Mindglow Mental Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mindglow Mental Healthcare LLC enrolled in Medicare?

Yes. Mindglow Mental Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindglow Mental Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindglow Mental Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mindglow Mental Healthcare LLC accept?

Health plans from CareSource list Mindglow Mental Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindglow Mental Healthcare LLC was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.